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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881095
Report Date: 03/20/2023
Date Signed: 03/20/2023 11:42:05 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/16/2022 and conducted by Evaluator Venus Mixson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20221216170549
FACILITY NAME:LINDEN AT MURRIETA, THEFACILITY NUMBER:
331881095
ADMINISTRATOR:MATTHEW MURPHYFACILITY TYPE:
740
ADDRESS:27100 CLINTON KEITH ROADTELEPHONE:
(951) 477-5678
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:137CENSUS: 110DATE:
03/20/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:HEALTH & WELLNESS DIRECTOR, JINA BORA.TIME COMPLETED:
11:41 AM
ALLEGATION(S):
1
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9
Facility staff not following resident's admission agreement.
Facility staff not providing dignity to resident.
INVESTIGATION FINDINGS:
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2
3
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5
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7
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9
10
11
12
13
On March 20, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced to the facility to deliver findings regarding the listed allegations. LPA Mixson met with Health & Wellness Director (HWD) introduced self and stated the purpose of the visit.

On December 16, 2022, Community Care Licensing (CCL) received information regarding the listed allegations. LPA Mixson conducted interviews, record reviews, and observations in order to obtain additional information regarding the listed allegations. After LPA's assessment of interviews, documents, and other evidence received, there was not a preponderance of the evidence strand to demonstrate that the listed allegations did or did not occur.

Therefore, the outcome of the investigation has been concluded with a finding of UNSUBSTANTIATED. A finding of "Unsubstantiated" means "although the allegation may have happened, or is valid there is not a preponderance of evidence to prove the alleged violation happened. Therefore the outcome of this investigation is deemed UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was given to the Health & Wellness Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Venus MixsonTELEPHONE: (951) 897-7936
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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